PET imaging of new target CDK19 in prostate cancer.

Purpose: Prostate-specific membrane antigen (PSMA)-positron emission tomography (PET) is a superior method to predict patients' risk of cancer progression and response to specific therapies. However, its performance is limited for neuroendocrine prostate cancer (NEPC) and PSMA-low prostate cancer ce...

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Published in:European Journal of Nuclear Medicine & Molecular Imaging Vol. 50; no. 11; pp. 3452 - 3465
Main Authors: Dai, Dong, Yu, Jiang, Huang, Ting, Li, Yansheng, Wang, Ziyang, Yang, Shuangmeng, Li, Shuai, Li, Yanli, Gou, Wenfeng, Li, Deguan, Hou, Wenbin, Fan, Saijun, Li, Yiliang, Zhao, Yu
Format: Journal Article
Published: Springer Nature Sep2023
Online Access:View this record in EBSCOhost
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      dt: Sep2023
      vid: 50
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      pub: Springer Nature
      place: New York, New York
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        172445096
        164128268
        10.1007/s00259-023-06277-2
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        atl: PET imaging of new target CDK19 in prostate cancer.
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          Dai, Dong
          Yu, Jiang
          Huang, Ting
          Li, Yansheng
          Wang, Ziyang
          Yang, Shuangmeng
          Li, Shuai
          Li, Yanli
          Gou, Wenfeng
          Li, Deguan
          Hou, Wenbin
          Fan, Saijun
          Li, Yiliang
          Zhao, Yu
        affil: Department of Molecular Imaging and Nuclear Medicine, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin's Clinical Research Center for China, Institute of Radiation Medicine, Chinese Academy of Medical Sciences and Peking Union Medical College, 300000, Tianjin, China
      sug:
      ab: Purpose: Prostate-specific membrane antigen (PSMA)-positron emission tomography (PET) is a superior method to predict patients' risk of cancer progression and response to specific therapies. However, its performance is limited for neuroendocrine prostate cancer (NEPC) and PSMA-low prostate cancer cells, resulting in diagnostic blind spots. Hence, identifying novel specific targets is our aim for diagnosing those prostate cancers with low PSMA expression. Methods: The Cancer Genome Atlas (TCGA) database and our cohorts from men with biopsy-proven high-risk metastatic prostate cancer were used to identify CDK19 and PSMA expression. PDX lines neP-09 and P-16 primary cells were used for cellular uptake and imaging mass cytometry in vitro. To evaluate in vivo CDK19-specific uptake of gallium(Ga)-68-IRM-015-DOTA, xenograft mice models and blocking assays were used. PET/CT imaging data were obtained to estimate the absorbed dose in organs. Results: Our study group had reported the overexpression of a novel tissue-specific gene CDK19 in high-risk metastatic prostate cancer and CDK19 expression correlated with metastatic status and tumor staging, independently with PSMA and PSA levels. Following up on this new candidate for use in diagnostics, small molecules targeting CDK19 labeled with Ga-68 (68Ga-IRM-015-DOTA) were used for PET in this study. We found that the 68Ga-IRM-015-DOTA was specificity for prostate cancer cells, but the other cancer cells also took up little 68Ga-IRM-015-DOTA. Importantly, mouse imaging data showed that the NEPC and CRPC xenografts exhibited similar signal strength with 68Ga-IRM-015-DOTA, but 68Ga-PSMA-11 only stained the CRPC xenografts. Furthermore, target specificity was elucidated by a blocking experiment on a CDK19-bearing tumor xenograft. These data concluded that 68Ga-CDK19 PET/CT was an effective technology to detect lesions with or without PSMA in vitro, in vivo, and in the PDX model. Conclusion: Thus, we have generated a novel PET small molecule with predictive value for prostate cancer. The findings indicate that 68Ga-CDK19 may merit further evaluation as a predictive biomarker for PET scans in prospective cohorts and may facilitate the identification of molecular types of prostate cancer independent of PSMA.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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